<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<!DOCTYPE html>
<html>
<head>
    <%@include file="/resources/commons/basejs.jsp" %>
</head>
<body>
<div style="width: 400px;padding-top: 10px;">
    <form id="form_submit" class="layui-form">
        <div class="layui-form-item">
            <%--<label class="layui-form-label">设备ID</label>--%>
            <%--<div class="layui-input-inline">--%>
                <%--<input type="text" name="name" lay-verify="required" placeholder="请输入设备ID" class="layui-input" value="">--%>
            <%--</div>--%>
                <div class="layui-inline">
                    <label class="layui-form-label">设备ID</label>
                    <div class="layui-input-inline">
                        <select name="name" id="name" lay-verify="required" lay-search="">

                        </select>
                    </div>
                </div>
            <%--<label class="layui-form-label">护工医保</label>--%>
            <%--<div class="layui-input-inline">--%>
                <%--<input type="text" name="hgid" lay-verify="required" placeholder="请输入护工医保" class="layui-input" value="">--%>
            <%--</div>--%>
                <div class="layui-inline">
                    <label class="layui-form-label">护工医保</label>
                    <div class="layui-input-inline">
                        <select name="hgid" id="hgid" lay-verify="required" lay-search="">

                        </select>
                    </div>
                </div>

                <%--<label class="layui-form-label">护工姓名</label>--%>
            <%--<div class="layui-input-inline">--%>
                <%--<input type="text" name="hgname" lay-verify="required" placeholder="请输入护工姓名" class="layui-input" value="">--%>
            <%--</div>--%>
            <%--<label class="layui-form-label">老人姓名</label>--%>
            <%--<div class="layui-input-inline">--%>
                <%--<input type="text" name="lrname" lay-verify="required" placeholder="请输入老人姓名" class="layui-input" value="">--%>
            <%--</div>--%>
                <div class="layui-inline">
                    <label class="layui-form-label">护工名字</label>
                    <div class="layui-input-inline">
                        <select name="hgname" id="hgname" lay-verify="required" lay-search="">

                        </select>
                    </div>
                </div>

                <div class="layui-inline">
                    <label class="layui-form-label">老人医保</label>
                    <div class="layui-input-inline">
                        <select name="lrid" id="lrid" lay-verify="required" lay-search="">

                        </select>
                    </div>
                </div>
                <div class="layui-inline">
                    <label class="layui-form-label">老人名字</label>
                    <div class="layui-input-inline">
                        <select name="lrname" id="lrname" lay-verify="required" lay-search="">

                        </select>
                    </div>
                </div>


        </div>
        <div class="layui-form-item" style="display: none">
            <button type="button" lay-submit lay-filter="btn_form_submit" id="btn_form_submit" class="layui-btn layui-btn-lg"></button>
        </div>
    </form>
</div>
</body>
<script>
    var modleName = "${ctxPath}/shebeilog";
    //用layui加载数据
    function onLayuiInit() {
        loadOptionList({
            url:'${ctxPath}/shebei/getList',
            elementId:'name'

        });
        loadOptionList2({
            url:'${ctxPath}/staff/getList',
            elementId:'hgid'

        });
        loadOptionList3({
            url:'${ctxPath}/staff/getList',
            elementId:'hgname'

        });
        loadOptionList4({
            url:'${ctxPath}/elderInfo/getList',
            elementId:'lrid'

        });
        loadOptionList5({
            url:'${ctxPath}/elderInfo/getList',
            elementId:'lrname'

        });
        //绑定监听表单提交事件
        bindSubmit(modleName,'add','btn_form_submit','form_submit');
    }
</script>
</html>














